Individual
DR. DAVID SHANE PENDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4500 13TH ST, GULFPORT, MS 39501-2515
(228) 867-4000
(251) 435-6478
Mailing address
PO BOX 555, BILOXI, MS 39533-0555
(228) 868-9641
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
00026907
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02936207
—
MS
Enumeration date
05/30/2006
Last updated
03/01/2011
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